Kenneth Wallace, PSY.D.
NPI 1417135815 · Clinical Psychologist · Vienna, OH
Kenneth Wallace, PSY.D. is a Clinical Psychologist provider in Vienna, OH (NPI 1417135815).
Provider details
- NPI number
- 1417135815
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PS015513 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-07
- Last updated
- 2008-02-07
Frequently asked questions
- What is Kenneth Wallace's NPI number?
- Kenneth Wallace's National Provider Identifier (NPI) is 1417135815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Wallace's specialty?
- Kenneth Wallace is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kenneth Wallace located?
- Kenneth Wallace's practice location on file with NPPES is 3400 Warren-Sharon Road, Vienna, OH 44473-9532.
- What is Kenneth Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Wallace is (330) 720-5768.
- Is Kenneth Wallace's NPI active?
- Yes — Kenneth Wallace's NPI (1417135815) is active in the NPPES registry as of the last update on 2008-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.